Sleeping arrangements and mosquito net use among under-fives: results from the Uganda Demographic and Health Survey
Sleeping arrangements and mosquito net use among under-fives: results from the Uganda Demographic and Health Survey
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DOI：
10.1186/1475-2875-2-40
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发表时间：
2003-11-01
期刊：
影响因子：
3
通讯作者：
Arinaitwe, J
中科院分区：
文献类型：
--
作者：
Mugisha, F;Arinaitwe, J
背景：减少疟疾倡议已将五岁以下儿童确定为疟疾的高危群体之一，这一群体抗击疟疾的战略之一是增加蚊帐的使用。这意味着必须在家庭一级有选择地锁定目标，以便儿童得到保护。然而，减少疟疾的偏好必须与家庭层面的偏好相一致，以考虑家庭层面的偏好。方法：本文基于2000-2001年乌干达人口与健康调查数据，其中收集了蚊帐拥有和使用的信息。对5岁以下儿童家庭蚊帐拥有量和使用情况进行了双变量和多变量分析。结果：家庭层面的儿童蚊帐使用偏好不同，儿童使用蚊帐的主要原因是恰好与父母同床。与母亲同床的儿童使用蚊帐的可能性是母亲的21倍。结论：增加蚊帐覆盖率，使60%的家庭(RBM的目标)至少有一个蚊帐，并不一定能保护五岁以下的儿童。要么必须扩大覆盖面，要么必须制定适当的目标战略。
Background: The Roll Back Malaria Initiative has identified the under-fives as one of the high risk groups for malaria, and one of the strategies to fight malaria in this group is increasing mosquito net use. This implies that there must be selective targeting at the household level such that the children are protected. However, the Roll Back Malaria preferences must be reconciled with those at the household level to take into account household level preferences.Methods: This paper is based on the 2000-2001 Uganda Demographic and Health Survey data in which information on mosquito net ownership and use was collected. The patterns of household mosquito net ownership and use for children under five years of age were examined using both bivariate and multivariate analysis.Results: The preferences at the household level seem to be different; children use mosquito nets primarily because they happen to share a bed with their parents. A child who shares a bed with the mother is 21 times more likely to use a mosquito net than his/her counterpart.Conclusion: Increasing mosquito net coverage such that 60% (the target for the RBM) of households have at least one mosquito net will not necessarily protect the under-fives. Either the coverage will have to be expanded or appropriate targeting strategies designed.